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Organization
MONA IDO LMHC, PA
Active
Organization
MONA IDO LMHC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA IDO LMHC (OWNER/PROVIDER)
(727) 204-1573
Entity
Organization
Contact information
Practice address
7600 BRYAN DAIRY RD, SUITE C, LARGO, FL 33777-1433
(727) 266-4497
(866) 597-4256
Mailing address
7600 BRYAN DAIRY RD, SUITE C, LARGO, FL 33777-1433
(727) 266-4497
(866) 597-4256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7345
FL
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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